逆行动脉流二次到中等弧形带综合征作为胃关节动脉血管栓塞的禁忌
Joey Almaguer1, Sheedeh Motamedi2, Dylan Murray3
1Radiology, Texas Tech University Health Sciences Center, Amarillo, USA.
Cureus
|September 18, 2024
概括
中间弧形带综合征 (MALS) 可以导致胃肠道问题. 中间弧形带 (MAL) 的手术释放成功治疗了一名患有严重出血的胃的患者,解决了MALS并发症.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 中间弧形带综合征 (MALS) 涉及中间弧形带 (MAL) 对乳干的外部压缩.
- 虽然MALS通常无症状,但可以表现为胃肠道症状,原因是前肠道缺血症或腹腔神经病变.
- 出血性胃潰瘍疾病可能導致血動力學不穩定,需要緊急介入.
研究的目的:
- 为了呈现一个MALS病例并发症出血性胃潰瘍疾病.
- 为了说明在这种情况下的诊断挑战和治疗考虑.
- 以突出通过手术干预成功管理MALS相关并发症.
主要方法:
- 诊断成像显示了乳狭窄和逆流,在试图血管栓塞时确认了MALS胃关节动脉 (GDA).
- 患者接受了开放式手术MAL释放.
- 同时进行了出血的十二指甲动脉的手术绑定.
主要成果:
- 患者出现了血液动力学不稳定性,原因是出血的十二指肠,需要输血.
- 由于动脉供应改变,MALS诊断排除了标准GDA血管栓塞.
- 手术MAL释放和十二指甲动脉绑定成功解决了出血和相关症状.
结论:
- MALS可能会出现严重的胃肠道并发症,如出血性胃潰瘍疾病.
- 在MALS中的放射性发现可能会对内血管干预进行禁忌.
- 在复杂的MALS病例中,包括MAL释放和向血管绑定在内的开放外科治疗可能是有效的.
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